4700 42nd SW, Suite 530 / P.O. Box 16486 Seattle, WA 98116-0486(206) 937-5358 FAX (206) 933-6529 / www.woma.org

Summer 2015

Washington D.O.

The Ursa Foundation was foundedin 1976 because a group ofosteopathic physicians felt anorganization was needed to providetraining in manual treatmenttechniques to interested partieswithout discrimination as to earneddegree. Ursa courses emphasized a“hands-on” approach with a highfaculty-to-student ratio in a lowpressure learning situation. Courseswere specifically designed for theclinician desiring to learn newtechniques which could be put toimmediate use in his or her practice.

Ursa Foundation EnrichesWashington

Osteopathic Foundation

From left, Ursa President Loren H Rex, DO, WOF President David Lukens,DO and Ursa Treasurer Sharelle Leick.

Marc Cote, DO NamedPhysician of the Year

Although not an osteopathicinstitution, Ursa was affiliated withWOMA since 1980 so that DO’sattending courses could obtain 1-AAOA approved CME. During thisseventeen year relationship, Ursaand Dr. Rex contributed nearly$100,000 to WOF, most of whichprovided low-interest loans toosteopathic medical studentsintending to practice in Washington.

Upon Dr. Rex’s retirement, Ursadissolved and its board voted todonate its funds to the WashingtonOsteopathic Foundation stipulatingits use for OMM training.

Marc Cote, DO, became a WOMAmember just seven years ago , gettinginvolved immediately when a vacancyopened up for a District Trustee. Hemoved quickly up the ranks, serving asPresident in 2013.

Dr. Cote is a 1982 graduate ofKCUMB. He completed a transitionalinternship in 1983 and an internalmedicine residency in 1986 atFitzsimmons AMC in Aurora, CO. Hecompleted a nuclear medicinefellowship there in 1994. He leftFitzsimmons for Madigan AMC andserved as Acting/substitute ChiefMedical Officer and Chair of theDepartment of Radiology from 2004-2008.

He served as Senior Physician andRegional Medical Director of ClinicalOperations for the Western RegionMedical Command at Joint Base LewisMcChord before leaving the Army forPNWU. He currently serves as Chair ofClinical Medicine and AssociateProfessor and Division Chief of InternalMedicine.

Dr. Cote and his wife, Sherri,maintain homes in Olympia andYakima.

WOMA President Harold Agner, DO,presents Dr Cote with an engraved crystaldesk set commemorating his award.

AOA CME Cycle Ends December 31stIf you still need Category 1-A

credits for this CME cycle, WOMAhas two programs scheduled to helpyou. On Saturday, September 26th,WOMA’s annual OMM/WOF

fundraiser will be held at PNWU inYakima. On Saturday, December 5th,WOMA’s Winter Seminar, “The NewFace of Chronic Health Problems”will take place at the Hilton

Doubletree SeaTac hotel. Watch youremail or the WOMA website forregistration information.

Page 2 Summer 2015 Washington D.O.

5220 California Ave SW, Suite BPO Box 16486

Seattle, WA 98116(206) 937-5358

Fax (206) 933-6529www.woma.org

WOMA Executive CommitteePresident

Harold Agner, DOPresident-Elect.

Michelle Coleman, DOVice President

Michael J Scot, III, DOSecretary

David Farrell, DOTreasurer

Mark Hunt, DOImmediate Past President

Scott Fannin, DOGovernment Relations Representative

Dave KnutsonExecutive Director/Editor

Kathleen S ItterFoundation Board

PresidentDavid Lukens, DO

Vice PresidentLoren H Rex, DO

SecretaryLindy Griffin, DO

TreasurerDan Dugaw, DO

The “Washington DO” is the officialpublication of the Washington Osteo-pathic Medical Association, publishedin February, May, August and Novem-ber. Members are encouraged to sub-mit articles for potential publication.Signed columns are, in all cases, theopinion of the author. For advertisinginformation, please contact the WOMAexecutive offices at (206) 937-5358.Deadlines for ads and articles are the10th of the month preceding the publi-cation.

WOMA WelcomesNew Members

At its quarterly meeting on June25, 2015, the Board of Governorsapproved the followingapplications for membership:ActiveMarie Cadwell Meyer, DO PNWU‘12Irene Grias, DO MSUCOM ‘07Deborah Havens, DO MSUCOM ‘99Kyong Kim, DO UNT/TCOM ‘91Jeffrey Krusniak, DO KCOM ‘97Mark Mikols, DO MSUCOM ‘01Steven Montague, DO COMP ‘92Terri Turner, DO COMP ‘92AssociatePatrick Wedlake, DO TCOM ‘87PostgraduateAnnaliese Stone Casey, DO RVU‘15Jeremy Casey, DO RVU ‘15Jacob Christensen, DO MWU ‘15Stephanie Ellwood, DO MSU ‘15Ragina Lancaster, DO LECOM ‘15StudentWesley Jones ATSU ‘16LifeBob Adams, DOTom Dawson, DOLarry Lefors, DOJudith Lewis, DORichard Simmons, DO

Getting to Know You WOMA is pleased to welcome thefollowing new Active Members:Marie Cadwell Meyer, DO graduatedfrom PNWU in 2012 and justcompleted her residency at EastPierce Family Medicine.Irene Grias, DO is a 2007 graduateof MSUCOM. She completed herinternship and residency inObstetrics and Gynecology atBotsford Hospital in 2011 and in 2013finished a fellowship at DrexelUniversity College of MedicineHahnemann Hospital specializing inMinimally Invasive Gynecology. Shecurrently practices the same specialtyat St Anthony Hospital in Gig Harbor.Deborah Havens, DO a 1999graduate also from MSUCOM,finished her residency in InternalMedicine at Henry Ford Hospital in2004 and fellowship in Occupationaland Environmental Medicine at theUniversity of Washington in 2012.Her present practice focus is InternalMedicine/Occupational andEnvironmental Medicine/PublicHealth/Research and is currentlyworking at Valley Medical Center inRenton.Kyong Kim, DO graduated from UNT/TCOM in 1991. He completed aninternship at Oakland GeneralHospital and then a residency inAnesthesiology in 1995 at the IllinoisMasonic Medical Center. Following,he finished two fellowships. The firstbeing in Critical Care Anesthesia atNorthwestern University School ofMedicine in 1997 and the second inPain Management at the NewEngland Medical Center at TuftsUniversity School of Medicine in1998. He is currently the medicaldirector at the Puget Sound Pain Clinicin Lakewood.Jeffrey Krusniak, DO is a 1997graduate of KCOM. He completedhis internship and residency inOrthopedic Surgery at GenesysRegional Medical Center in 2002. Heis board certified in OrthopedicSurgery and practices at PeaceHealth United General MedicalCenter in Sedro Woolley.Mark Mikols, DO another MSUCOMgraduate in 2001, completed hisresidency at Munson Family Practice

Residency Program in Michigan andpracticed in Guam at the NavalHospital for 3 years. He currentlypractices Urgent Care and FamilyMedicine at Valley Medical Center inRenton.Steven Montague, DO graduatedfrom COMP in 1992. His residencywas completed at Swedish MedicalCenter, UW Family Medicine in 1995.His present practice focus isPersonalized Medicine at EvergreenHealth in Woodinville.Terri Turner, DO is a 1992 graduateof COMP as well. She finished herInternal Medicine internship andresidency at Alameda CountyMedical Center, Highland Hospitalin Oakland, CA in 1995. She iscurrently working as a Hospitalist atthe VA and in private practice inSpokane.

Meetings NoticeFriday, September 25, 2015

CME Committee7:00 p.m.

Satuday, September 26, 2015WOF Board

6:00 p.m.WOMA Board

6:30 p.m. Dinner

All meetings are at theOxford Suites

1701 E Yakima AveYakima, WA

Washington D. O. Summer 2015 Page 3

I was again honored to attend theAOA House of Delegates annualbusiness meeting in Chicago this pastJuly and represent Washington Stateand WOMA along with mydistinguished colleagues PaulEmmans, Jr., DO, David Lukens,. DO,Scott Fannin, DO, Anita Showalter, DO,Marc Cote, DO Student DelegateBraxton-Jesse Lee and StudentAlternate Taylor Brown.

As you may recall, last year wasnoteworthy in large part due to theapproval of the AOA/ACGME jointaccreditation process. This year, therewere several resolutions and muchdiscussion updating delegates on thisissue. While that process is wellunderway, continuing approval andsupport was lent to the process.

I attended the Education referencecommittee where WOMA had aresolution presented. Our resolutionwas in opposition to MOC(maintenance of certification).Specifically, the resolution was toensure that the MOC process was nottied to state licensure. There were atleast 3 other very similar resolutionspresented to the committee. These

resolutions were combined into oneresolution which succinctlyrepresented WOMA’s interests forpresentation to the floor. It passedeasily upon presentation to the generalassembly. There were a number ofpolicy resolutions (referenced on AOAHOD highlights page) as well including:

- increased mental healthresources for students andDOs

- support for ending ban onsperm donation by gay men

- support for expanding laws toprotect physicians againstviolence

- New AOA policy for responsibleantibiotic stewardship

Other highlights were the A.T. Stilllecture delivered by President Peter B.Ajluni, DO, and the incoming president,Dr. John W. Becher’s address duringthe Saturday sessions. The thrust ofthese messages were acknowledgingthe rapid growth of the osteopathicprofession and using our numbers andinfluence to craft and influence policyin national medical politics.

Respectfully submitted,Paul (PJ) Emmans III

AOA House of Delegates

WOMA delegates David Lukens, DO and Paul Emmans, DO werehonorred for 30 and 25 years (respectively) of service as AOA Delegatesat the annual meeting in Chicago in July.

At its annual membership meetingheld June 26, 2015 at Blaine, WA,WOMA members elected its 2016Board and AOA Delegates. TheExecutive Committee will assumeits duties on January 1, 2016 for aone-year term. Incoming presidentScott Fannin, DO, is encouragingmembers who are willing to serve ona committee to contact him orExecutive Director Kathie Itter.

Joining Dr. Fannin on the ExecutiveCommittee will be President-electMichael Scott, III, DO, Vice PresidentMischa Coleman, DO, SecretaryDavid Farrell, DO, Treasurer MarkHunt, DO and Immediate Past-President Harold Agner, DO.

Trustees elected to two-year termscommencing January 1, 2016 areDistrict 1 Nathanael Cardon, DO;District Jeanne Rupert, DO; DistrictIII Rose-Marie Colombini, DO andDavid Lukens, DO; District 4 AmberFigueroa, DO and District 5 HeatherPhipps, DO. (There is currently avacancy for a Trustee representingDistrict 1 which includes, Whatcom,Skagit, Snohomish, San Juan andIsland Counties. If you are interestedplease contact Kathie Itter atkitter@woma.org or call 206-937-5358.)

The Institutional Representativeis Marc Cote, DO. Tara Nair, DO waselected as the postgraduate memberand Tom Hanna, OMSII will serve asthe student representative.

AOA Delegates for 2016 areHarold Agner, DO, Paul Emmans, Jr,DO, Paul Emmans, III, DO, ScottFannin, DO, Amber Figueroa, DO andDavid Lukens, DO. Marc Cote, DOand Anita Showalter, DO were electedas Alternate Delegates.

Congratulations to everyone!

2016 WOMABoard Elected

Save the Date!

103rd AnnualNorthwest

Osteopathic ConventionJune 23-26, 2016

SemiahmooBlaine, WA

Page 4 Summer 2015 Washington D.O.

2015 Convention Provides Great CME and FellowshipClockwise rrom top right: Registrantsenjoyed plenty of lab time in an after-noon of OMM application to walkingissues; two VIP tickets and anautographed Tim Allen poster started abidding war in the WOF annualfundraiser auction; Sheila Kennedy, DOand David Escobar, DO try out tech-niques on Cheryl Hayes, DO; Long Vu,DO applies OMM techniques to wifeChristen Vu, DO; Rebecca Locke, DOand Elina Chernyak, DO team up onpatient Rose-Marie Colombini, DO;Minnie Mouse (Aurora McCone) as-sists in recruiting 2015 Osteopac Mem-bers; Lobbyist Daivd Knutson providesa legislative update; President Agnerpresents Tom Dawson, DO with hisLife Membership certificate; AOATrustee Mark Baker, DO briefs regis-trants on the progress of the ACGMEmerger and the future plans of the AOA.

Washington D. O. Summer 2015 Page 5

and A Venue for Old and New Friends to Network

Trustee David Hofheins, DO reports for District 5

Trustee Amber Figueroa, DO reports for District 4

Trustee Jeanne Rupert, DO reports for District 1

Registrants enjoy new A/V as David Kanze, DO demonstrates techniques

Past President Scott Fannin, DOpresents Harold Agner, DO with the2015 President's Plaque.

Aurora McCone (daughter ofWOMA member Lindy Griffin, DO)assists auctioneer Scott Fannin, DO inpresenting an autographed Seahawksjersey for bidding.

Auctioneer Scott Fannin, DO enjoyscompetetive bids for an array of homecanned preserves from Dr. Figueroa.

Page 6 Summer 2015 Washington D.O.

At its annual meeting on June 26,2015, the WOMA membershipapproved two resolutions. The firstresolution, opposing Maintenance ofC e r t i f i c a t i o n / O s t e o p a t h i cContinuous Certification as acondition of licensure was submittedto the AOA House of Delegates. Itreads:

WHEREAS, there is an educationprocess (Continuing MedicalEducation) in place that has beeneffective for many years and theState Licensing and DisciplinaryBoards have oversight that itsphysicians have fulfilled thisrequirement for licensure; and

WHEREAS, state licensing anddisciplinary boards havemechanisms to identify anddiscipline osteopathic physicianswho pose a threat to the public; and

WHEREAS, there is question as tothe existence of documentedevidence that proves that passing awritten exam and recertification hasany direct correlation on quality orprotection of public safety above theestablished training and licensingprogram now, therefore be it

RESOLVED, that the AOArecognizes that the recertificationrequirements of maintenance ofcertification are costly, timeconsuming and disruptive ofphysician time for patient care, whilelacking any proof of improvingpatient care; and BE IT FURTHER

RESOLVED, that the AOA opposesany efforts to mandate maintenanceof certification/osteopathiccontinuous certification as acondition for state licensure, hospitalstaff privileges, reimbursement fromthird party insurance parties,malpractice coverage and as arequirement for physicianemployment; and BE IT FURTHER

RESOLVED, that the AOAadvocates that if a state licensureentity chooses maintenance ofcertification/osteopathic continuouscertification as an option for re-licensure, alternate existingrequirements, such as CME, shouldremain an option for re-licensure.

The resolution was combined withsimilar resolutions from otherosteopathic societies and approvedby the AOA Delegates.

The second resolution, to beshared with members of theWashington State Legislature,opposes participation of WashingtonState in the Interstate MedicalLicense Compact. WOMA is notopposed to a single credentialingsystem for those who wish to belicensed in several states, but it isconcerned about the potential costto licensees. The resolution reads:

WHEREAS, The Interstate MedicalLicensure Compact (Compact) willsupersede State authority andcollection of fees for renewal oflicenses originally processed by theCompact; and

WHEREAS, the implementation ofthe powers and duties of the Compactto establish and maintain an office(or offices) and employees could becost-prohibitive; and

WHEREAS, Compact languagestates the Interstate Commissionmay levy and collect an annualassessment from each member stateto cover the cost of the operationsand activities of the InterstateCommission, and

WHEREAS, the possibility of civilsuites adds another high cost forwhich member states could be liable;and

WHEREAS, the likelihood that thebranches of government in severalstates could come to an agreementon any actions in a time-efficientmanner to have meaningful impacton the enforcement of the Compact’spurpose and/or intent

WHEREAS, state law requires thateach professional licensing programis self-funded through licensing fees,passing any increase in programexpenses levied by the Compact tobe borne by the licensees which coulddramatically increase those fees,

WHEREAS, it is the belief of theWashington Osteopathic MedicalAssociation that the Compact shouldbe self-funded by fees, just as isrequired for state licensure andtherefore be it

RESOLVED, that the WashingtonOsteopathic Medical Associationoppose any participation by the Stateof Washington in the InterstateMedical License Compact as itcurrently exists ; and, be it further

WOMA ResolutionsRESOLVED, that the members of

the Washington State Legislature beencouraged to oppose anyparticipation by Washington State inthe Interstate Medical LicenseCompact as it currently exists.

Explanatory Statement:The Washington Osteopathic

Medical Association supports theconcept of an expedited credentialingprocess for licensing in multiplestates. We have concerns withWashington State’s participation inthe Compact, as follows:

1. Once the expeditedcredentialing process has beencompleted, we do not believe thatthe licensee should have to renewand pay renewal fees through theCompact? (Section 7). The Stateshould be able to process and collectfees of license renewals once aninitial license has been granted usingthe expedited service of the Compact.

2. The implementation of thepowers and duties of the compact(Section 12) to establish and maintainan office (or offices) and employeescould be cost-prohibitive.

3. The Compact should coverthe cost of operations and activitiesthrough fees collected, just as ourlicensing boards are required to do.States should not be required tosubsidize any uncovered budgeteditems. (Section 13)

4. The possibility of civil suitsadds another high cost for whichmember states could be liable.(Section 14)

5. The accountability provisionsare problematic. This organizationproposes to make and enforce itsown rules which have yet to bewritten. (Section 17) We questionthe likelihood that the branches ofgovernment in several States couldcome to an agreement on any actionsin a time efficient manner to haveany meaningful impact on theenforcement of the Compact’spurpose and/or intent. (Section 16)

For these reasons we believe thereis a potential for the Compact toinfringe upon the authority of theBoard of Osteopathic Medicine andSurgery and raise licensing feesdramatically.

Washington D. O. Summer 2015 Page 7

Back in the day, when I was a“Show Bum”, time tended to bemeasured in “Seasons” which wereabout 30 to 35 weeks long. Theshows I was a part of were called bydifferent names, one of which was“wild animal circuses” and wereseen as educational for childrenwithout access to Zoos rather thanterrible people doing even moreterrible things against defenselessanimals. However, no matter what,the owners could not stop feedingthe side show animals just becausethe season was over. Besides therewas not going to be any income untilspring which was several weeksaway. Therefore, when the showwas contacted about the possibilityof renting an elephant for a fall paradeit was welcomed as a godsend to thehay budget for winter.

What could be more Americanthan a good old fashioned parade?Who doesn’t love a parade? Thereare brass bands with Drum Majorsand a bevy of beautiful Majorettesalong with a number of floats andthe usual King and Queen Contest.Of course, there needs to be aconstant infusion of new ideas tokeep the whole thing fresh andappealing to the locals. Still with allthe input, it often seems somehowthat something is missing. With thisin mind, a regional dairy that had foryears provided a float concluded, nodoubt an idea that came fromsomeone in the bowels of theadvertising department, that this yearthe way to provide the missingfeature could be an ELEPHANT! OK,OK I already know that each andevery time I write about those biggray killers, waiting for their chance,I will get hate mail from theLoxodontaphiles in the world, so fireaway.

The idea was that the dairy wouldconstruct a replica of a milk carton ofthe day, which as some of you willremember, these cartons wererectangular, made from waxedcardboard and glued together in alittle tent at the top. This

configuration allowed one side ofthe top to be pulled open providing aspout for the contents. The idea wasabsolute genius; all that was neededwas a calm elephant to provide aback as a stable platform for carryingthe milk platform in the parade. Thiswas overall a simple request andfortunately the circus had the perfectelephant for the job: MYRTLE

Myrtle’s stellar qualification forthe job was an obvious anomalyconcerning her tail. Her tail wasapproximately one foot shorter thanwould be expected for an elephantof her size. Years before, Myrtle hadthe habit of flipping her tail into thelion’s cage while standing in thesideshow and eating grass.Apparently, the lion considered thissome sort of indignity to him in theorder of jungle ranking and takingumbrage to the whole thing, onenight he simply bit off Myrtle’s tail.This had failed to rouse Myrtle fromher usual semi-comatose conditionwhen eating. The legend of Myrtle’sdocility was born. Obviously, Myrtlewas perfect for the job.

On the day of the great parade,Myrtle was transferred by privatemotor coach, read truck, to herposition along the parade route whereshe was to be fitted with theaforementioned replica milk cartonand then inserted smoothly into theparade at the proper moment. Thereare two basic means for placingsomething or someone onto anElephant. If you are trying to get onan Elephant, you can stand in front ofthe Elephant and grab onto theElephant harness and be lifted on tothe head or if it is a structure, theelephant gets down on their tummyand the load is placed on their backand then the Elephant arises and theload is secured. The latter was usedin preparing Myrtle for the parade.All necessary straps were securedand Myrtle placidly munched thetasty fall grasses within reachawaiting her chance for stardom.What could possibly go wrong?

As with most historical stories,there is no way to know what causedthe next happening. As these thingsbecome legend, the possibilitiesbecome more numerous. Who is tosay, perhaps it was a bright light thatflashed in Myrtle’s dimly lit brain orperhaps there was a noise heardonly in a range within Myrtle’shearing. I suppose it could evenhave been a sudden realization thatshe suffered from LactoseIntolerance: naw! Whatever it was,we do know that there was a suddentrumpeting followed by a generalfertilization of the immediate areaand Myrtle was off to the races. Arapidly disappearing ponderousPachyderm rearranging a white picketfence’s orientation from vertical tohorizontal, clothes lines becomingpart of Myrtles parade dress,complete with sheets flapping oneither side behind her were seen.Bushes ripped up and flying, gardenproduce disappearing beneath largegrey flat feet and ineffective humanswho were being left in the rear of atotally new parade route. On and onMyrtle rambled toward an unknowndestination or perhaps a destinationknown only to her. Myrtle wasflattening fences, pulling up clotheslines, adding debris to her collectionof attached articles and maintainingher Elephant induced mayhem forwhat would soon be legend.

Then, as quickly as it had started,it was apparently over. Myrtlestopped her headlong flight andbegan standing in the midst of herill-gotten collection of suburbantreasures. From a humanperspective Myrtle was most likelychargeable with a bout of badbehavior. On the other hand, let hewho is without sin cast the first stone.At any rate, when the local posse ofinterested parties, who weregenerally quite winded from theadventure, caught up with Myrtle,there was nothing left to do butbreakout the yellow CRIME SCENEtape and the cameras. Myrtle, theperp of all the action, was quietlydoing her thing, availing herself ofthe succulent remains of summergardens and showing herself to bethe Elephant of legend: unflappableBear

Page 8 Summer 2015 Washington D.O.

Small PracticeTermination by

InsurerEarlier this year we received noticefrom a member that his contract witha large insurer had been terminated.Unfortunately he had waited untilafter the appeal deadline to bring thisto our attention. If you receive a noticeof termination from an insurer, theAOA recommends you take thefollowing action: You will usually have a short amountof time to refute a termination, somake sure that you follow all stepsoutlined in the letter. These stepsshould include the following:

1. Immediately call thetelephone number on yourtermination letter to request reportsrelated to your practice’s panel size,administrative compliance andpatient-specific information. Therequested data SHOULD BE returnedto you by fax and/or email within onebusiness day. If you request that theinformation be returned to you viaemail, be sure that responses are notdelivered as spam.

2. If you have a subspecialty,make sure your claims data iscompared to the appropriate specialty.

3. After you review thedocumentation you receive foraccuracy, write a letter to refute thetermination that includes specificinformation. For example:

4. Illustrate that the geographicregion may be underserved

5. Provide background that theplan may not have, such as the networkwould be too limited due to factorssuch as the retirement of certainphysicians or other information

6. Describe the unique servicesoffered by the terminated physician

7. In addition, appeal lettersshould request a physician-to-physician conversation with themedical director.

8. Your justification andsupporting documentation should bemailed via certified mail within thestated time frame.

Prior Authorizationto be Required

for Methadone byApple Health

Effective for dates of service onand after September 1, 2015,Washington Apple Health(Medicaid), administered by theHealth Care Authority, will requireprior authorization for methadone.

The agency is changing theauthorization status for methadoneas directed by the WashingtonMedicaid Drug Utilization Reviewboard due to concern over the highnumber of methadone relatedfatalities in the State of Washington.The agency will require authorizationfor new starts for methadone whenmedically necessary, as evidencedby intolerance to or failure of allgeneric long-acting opioids to treatthe client’s pain.

The agency will allow clientscurrently receiving methadone tocontinue receiving methadonewithout authorization or restrictionwhen the agency has record ofpayment for methadone in the lasttwo months.

The agency will also continue tocover methadone without restrictionfor clients actively being treated forcancer pain, using expeditedauthorization (EA) code85000000040.

For clients new to WashingtonApple Health for whom the agencydoes not have current record ofpayment for methadone, but whohave been actively taking methadonepaid for out-of-pocket or by anotherpayer, pharmacies may requestauthorization by calling toll-free1-800-562-3022 ext. 15483 andindicating that the methadone is acontinuation of current treatment forthe client.

For more information, see theagency’s Washington Preferred DrugList (WPDL) and ExpeditedAuthorization List (EA).

MedicalMarijuana

AuthorizationsReporting

The Department of Health hascompleted two important tasksrequired to be in place July 24, 2015:

1. Providing a way forhealthcare practitioners to reporteach calendar month they write morethan 30 new or renewedauthorizations for the medical use ofmarijuana. Reporting is requiredbeginning July 24, 2015, and endsJuly 1, 2016. Healthcare practitionerswho write more than 30authorizations in a calendar monthmust report using the MedicalMarijuana Authorizations ElectronicSurvey. A link to the form is locatedat www.woma.org.

2. Developing a standard formfor medical marijuana authorizations.Starting July 24, 2015, all newauthorizations must be written onthe standard form below. StartingJuly 1, 2016, all authorizations mustbe on this new form in order to bevalid. The form must be printed ontamper-resistant paper. A link to theform is located at www.woma.org.

Please direct questions tomedicalmarijuana@doh.wa.gov.

HCA and DSHS have received reportsof providers encountering issueswhile using ProviderOne onMicrosoft’s new Edge internetbrowser, which replaces InternetExplorer in the new Windows 10release.Most of the issues have arisenbecause Edge automatically enablesa pop-up blocker. When usingProviderOne, your browser’s pop-upblocker must be disabled. Pleaserefer to the instructions attached tothis communication for instructionson how to set the pop-up blocker to“off” in Edge.In addition, ProviderOne is not yetfully compatible with Edge, so to

ProviderOnecompatibility with new

Microsoft internetbrowser “Edge”

prevent further issues, you can alsoenable Edge to open as InternetExplorer 11. Those instructions arealso included in the attachment andshould be used if there are additional

problems encountered while usingProviderOne in Microsoft Edge.If you have further questions orconcerns, please contactmmishelp@hca.wa.gov.

Washington D. O. Summer 2015 Page 9

Pacific Northwest University ofHealth Sciences student PatriciaEgwuatu has been awarded theWilliam G. Anderson, DO, MinorityScholarship by the AmericanOsteopathic Foundation.

According to the Foundation, thescholarship recognizes anoutstanding minority osteopathicmedical student who is committedto osteopathic principals andpractice, has excelled academically,and has proven to be a leader inaddressing the educational, societal,and health needs of minorities.Student Doctor Egwuatu served asthe student representative to theWOMA Board of Governors in 2014.

“We are immensely proud ofStudent Doctor Egwuatu’saccomplishment,” said Dr. ThomasScandalis, Dean of the College ofOsteopathic Medicine. “Dr. Andersonhas been a beacon for our profession,and it is noteworthy that StudentDoctor Egwuatu has been chosen asthe recipient of the scholarship thatbears his name,” Dr. Scandaliscontinued.

Student Doctor Egwuatu willreceive a $7,500 scholarship awardto be presented at the annualOsteopathic Medical Conferenceheld this coming October.

PNWU StudentReceives

PrestigiousScholarship

Patricia Egwuatu, OMSIV

Pacific Northwest University ofHealth Sciences (PNWU) has receiveda $1.75 million grant from the HealthResources and ServicesAdministration’s (HRSA) Primary CareTraining and Enhancement (PCTE)program. The purpose of this five-yeargrant is to develop an interprofessionalpractice program that covers primarycare fields including pediatrics,internal medicine, family medicine,long-term care and rehabilitative care.This project is a collaboration betweenHeritage University’s PhysicianAssistant (PA) Program and the PNWUCollege of Osteopathic Medicine. Theproject will contribute to thedevelopment of the Yakima ValleyInterprofessional Practice andEducation Collaborative (YVIPEC).

The grant will allow facultymembers and students to learn andengage in team-based care whichbegins with fundamental concepts inthe classroom, simulation training andstandardized patient activities,culminating in clinical training atprimary care facilities in the localcommunity.

“This grant represents a significantstep forward to developing clinicalsites within our community that willbe using a team-based approach tomedical education,” said Dr. RobertSutton, one of the key organizers ofYVIPEC and Senior Advisor to thePresident at PNWU.

“Health education has traditionallybeen conducted in discipline specific

silos that discourage adequatepreparation of future practitioners forteam-based care and collaboration.Interprofessional collaborativeeducation, conversely, occurs whenhealth professions students learnabout, with, and from one another,”Dr. Sutton continued.

Throughout the program studentswill learn how to engage patients andtheir families, and assesseffectiveness in terms of team-basedcollaboration, quality of care, patientoutcomes and patient satisfaction.

The collaborative project will beadministered by Pacific NorthwestUniversity of Health Sciences (PNWU)College of Osteopathic Medicine andHeritage University PhysicianAssistant Program. The aim of theproject is to create a rural primary careworkforce that engages in team-basedclinical practice. The collaboration willalign the education of the primary careworkforce with changes in the clinicalpractice environment throughenhanced training of current and futureprimary care physician assistants (PA)and doctors of osteopathic medicine(DO), preparing them forinterprofessional primary care teams.

Other local organizationsparticipating in the project are theYakima Union Gospel Mission,Toppenish Community Hospital,Community Health of CentralWashington, Yakima ValleyFarmworkers Clinic and Landmark CareCenter.

PNWU Receives $1.75 Million Grant

Effective August 1 , 2015, all claimdenial and service limit requestssubmitted through Contact Us will beissued a confirmation page thatincludes a date and time stampinstead of a service request number.

At the Contact Us form screensubmit the claim denial or servicelimit request and the confirmationpage will be displayed. A print buttonis provided at the lower right cornerof the screen to print the confirmationfor your records.

The Claims Processing Office willreply to the request using a newemail address. This address isclaimerror@hca.wa.gov. Please donot send replies to this address.

Any additional or follow-upquestions to your response should

HCA Provider Alertbe submitted through Contact Us athttps://fortress .wa.gov/hca/p1contactus / including the ticketnumber entered into the OtherComments field.

Note: Please be sure to add theclaimerror@hca.wa.gov emailaddress to the Safe Senders list inthe email system you use so it willnot be blocked or received in yourjunk email folder.

This notice applies only to ClaimDenial and Service Limit inquiries.All other types of Contact Us requestswill continue to be issued a servicerequest number and processed bythe Medical Assistance CustomerService Center (MACSC).

Page 10 Summer 2015 Washington D.O.

On April 24, 2015, Gov. Insleesigned 2SSB 5052, the CannabisPatient Protection Act (PDF). This actcreates licensing and regulation ofall marijuana producers, processorsand retail stores under the oversightof the renamed Washington StateLiquor and Cannabis Board (LCB).Information about licensing is onLCB’s website. It also directs theDepartment of Health to completetasks that include:

Contracting with a third party tocreate and administer a medicalmarijuana authorization database;Adopting rules relating to theoperation of the database; Adoptingrules regarding products sold topatients and their designatedproviders; Consulting with the LCBabout requirements for a retail storeto get a medical marijuanaendorsement; Creating a medicalmarijuana consultant certificationprogram; Developing and approvingcontinuing education for healthcarepractitioners who authorize themedical use of marijuana; andMaking recommendations to thelegislature about establishingmedical marijuana specialty clinics.Effective April 24, 2015:

The department must begin workto establish the database.

No person under the age of 21may participate in a collective gardenor receive marijuana that is produced,processed, transported or deliveredthrough a collective garden. A validdesignated provider age 21 or oldermay participate in a collective gardenon behalf of the patient.

The LCB may conduct controlledpurchases from licensed retailers andcollective gardens to ensure they’renot providing marijuana to peopleunder the age of 21.Effective July 24, 2015:Post-traumatic stress disorder andtraumatic brain injury are added asqualifying conditions. A qualifyingcondition must be severe enough tosignificantly interfere with thepatient’s activities of daily living andability to function, which can beobjectively assessed and evaluated.All new authorizations must be

written on a form developed by thedepartment and printed on tamper-resistant paper. Patientexaminations and re-examinationsmust be performed in person at thehealthcare practitioner’s permanentbusiness location. Healthcarepractitioners who write more than30 authorizations per month mustreport the number to the department.Healthcare practitioners cannot havea practice that consists primarily ofauthorizing the medical use ofmarijuana. No more than 15 plantsmay be grown in a single housingunit even if multiple patients ordesignated providers reside there.Butane extraction is prohibitedunless the person is a processorlicensed by the LCB.Effective July 1, 2016:

All marijuana producers,processors and retail stores must belicensed by the LCB. All marijuanaand marijuana products must betested for safety and THC/CBDlevels, accurately labeled, and soldin child-resistant packaging.Licensed retail stores may apply forand get a medical marijuanaendorsement. All authorizationsmust be written on a form developedby the department and printed ontamper-resistant paper. All otherforms of documentation are no longervalid. Patients under 18 years of agemust have permission from a parentor guardian, and must participate intreatment. The database becomesoperational. Patients and designatedproviders may be entered into thedatabase by presenting theirauthorization to a licensed retail storewith a medical marijuanaendorsement. Possession amountschange depending on whether thepatient or designated provider isentered into the database: Entered:May purchase up to three times thecurrent limits at licensed retail storewith a medical marijuanaendorsement and may possess sixplants and eight ounces of useablemarijuana; healthcare practitionermay authorize additional plants to amaximum of 15; purchases at retailstores with a medical marijuana

endorsement are not subject to salestax; provides arrest protection. Notentered: Patient or designatedprovider can be arrested but has anaffirmative defense to criminalprosecution for possession of up tofour plants and six ounces of useablemarijuana; may not participate incooperatives; purchases at retailstores limited to amounts for alladults and are subject to sales tax.

Up to four patients and designatedproviders may form a cooperative atthe residence of one of the membersand may grow the total authorizedamount for the four members.Cooperatives must be registeredwith the LCB. A healthcarepractitioner may sell or donate topatients topical products that haveless than 0.3 percent THC. Collectivegardens under the old law are nolonger allowed. New language allowsfor cooperatives with specificrestrictions.

Decision from the WashingtonSupreme Court

A May 2015 decision by theWashington Supreme Court hasclarified that Chapter 69.51A RCWdoesn’t legalize the medical use ofmarijuana. It only provides qualifiedpatients holding a validrecommendation and theirdesignated providers with anaffirmative defense to criminalprosecution .

2SSB 5052 – Cannabis Patient Protection Act

Is Your ListingCurrent?

One of the benefits of WOMAmembership is inclusion in the Find aDO Directory on the WOMA website.It is set up to search for a physician bylast name, specialty, city or zip code.

Members are encouraged to checktheir information in the listing and notifyWOMA staff of any corrections. Go towww.woma.org. Log in using theprimary email address you provided toWOMA and the password you chosewhen you first logged in. If you needassistance, call the WOMA office at206-937-5358.

Washington D. O. Summer 2015 Page 11

DEA Announces 10thNational Prescription

Drug Take-BackDEA Acting Administrator Chuck

Rosenberg today announced that the10th National Prescription Drug Take-Back will take place September 26thfrom 10 am-2 pm local time in everystate but Pennsylvania andDelaware, where the event will takeplace on September 12. As with theprevious nine Take-Back events, siteswill be set up throughoutcommunities nationwide so localresidents can return their unwanted,unneeded, or expired prescriptiondrugs for safe disposal.

Collection sites in every localcommunity can be found by going towww.dea.gov . This site will becontinuously updated with new take-back locations.

The National Prescription DrugTake-Back addresses a vital publicsafety and public health issue. ManyAmericans are not aware thatmedicines that languish in homecabinets are highly susceptible todiversion, misuse, and abuse. Ratesof prescription drug abuse in the U.S.are at alarming rates, as are thenumber of accidental poisonings andoverdoses due to these drugs. Studiesshow that many abused prescriptiondrugs are obtained from family andfriends, including from the homemedicine cabinet. In addition, manyAmericans do not know how toproperly dispose of their unusedmedicine, often flushing them downthe toilet or throwing them away –both potential safety and healthhazards.

“Prescription drug abuse is a hugeproblem and this is a greatopportunity for folks around thecountry to help reduce the threat,”Rosenberg said. “Please clean outyour medicine cabinet and make yourhome safe from drug theft andabuse.”

In the previous nine Take-Backevents nationwide from 2010-2014,4,823,251 pounds, or 2,411 tons ofdrugs were collected.

Suicide PreventionTraining Update

This year, the legislature passedEngrossed Substitute House Bill1424. The governor signed it intolaw, becoming effective July 24, 2015.The new law delays the suicideprevention training requirement forallopathic and osteopathicphysicians and physician assistants,nurses, chiropractors, naturopaths,and physical therapists until January1, 2016. Training taken betweenJune 12, 2014 and January 1, 2016(including WOMA's seminar onMarch 22, 2015) is valid and fulfillsthe requirement as long as thetraining met the requirements of thelaw and for your profession.It requires the Department of Health(DOH) to adopt rules establishingminimum standards for the suicideprevention training programs byJanuary 1, 2016. It requires that byJuly 1, 2017, only trainings that meetthe new minimum standards can beon the department’s model list ofsuicide prevention trainingprograms. Three-hour trainingprograms developed prior to July 24,2015 must also be included on themodel list.The law requires all health careprofessionals who are required totake suicide trainings take trainingsfrom the model list beginning July 1,2017. Training taken before July 1,2017 is valid and fulfills therequirement. It exempts certifiednurse anesthetists, allopathicphysician residents with a limitedlicense, and osteopathic physicianpostgraduate licensees from thetraining requirement.

The DOH began rule-makingactivities in July to establish minimumstandards for suicide preventiontraining programs.

Affected boards and commissionswill revise their rules to implementthe new law. Some began the workin July and some will wait until afterthe minimum standards aredeveloped.

The DOH will update the currentmodel list by December 31, 2015and provide updates on theseactivities as they move forward.Please contact Kathy Schmitt at 360-236-2985 if you have questions aboutthe new law.

ConventionSupporters

Appreciated

President Agner thanks ExecutiveDirector David Tate for the grantprovided by the NOMF.

WOMA is thankful to theWashington Osteopathic Foundationand the Northwest OsteopathicMedical Foundation for their grantsin support of the convention CMEprogram.

The following firms are alsorecognized for their support asexhibitors: AbbVie, Amgen, AtossaGenetics, ATSU-SOMA, Cell ScienceSystems, HEAL-WA, Indivior, Lilly andCompany, Medical Protective,National Reference Lab for BreastHealth, NW Osteopathic MedicalFoundation, Osteopac, PhysiciansInsurance, PNWU, Purdue Pharma,Sanofi Diabetes, TevaPharmaceuticals, US Air Force, andWestern U COMP NW. Pleaseexpress appreciation for their supportif the opportunity presents itself.

Fall Seminar FeaturesCases and Lab TimeWOMA’s Fall Seminar is

scheduled for Saturday, September26th at PNWU in Yakima. ProgramChair David Kanze, DO, and facultymembers Harold Agner, DO, MicheleColeman, DO and Steven Leifheit,DO will present an interesting arrayof cases utilizing OMT to discuss.Different treatments will beexamined and taught with plenty oflab time to practice.

All faculty are donating their timeso that the proceeds may benefit theWashington Osteopathic Foundationwhich provides support toosteopathic medical students andtraining programs.

If you are unable to attend butwould like to make a tax-deductiblecontribution to the Foundation, sendyour check made payable to WOF toPO Box 16486, Seattle, WA 98116-0486.

Page 12 Summer 2015 Washington D.O.

Washington Osteopathic Foundation Contribution Form(Please print legibly)

Donor Name ____________________________________________________________

Address ________________________________________________________________

City, State, Zip ___________________________________________________________

Phone ______________________ Email _____________________________________

Amount of tax-deductible donation $ _________________________________________The WOF Tax-ID number is 23-7115033.

You may make your contribution in memory of a deceased person or in honor of someone living. If you wish todo so, please indicate below:My contribution is in memory of _____________________________________________OrMy contribution is in honor of ______________________________________________

Unless otherwise indicated, donations will be deposited in the general account to support loans, osteopathictraining and CME in Washington State._____ I prefer my donation to go to the general loan fund._____ I prefer my donation to go to the Warren Lawless Scholarship Fund_____ I prefer my donation to go to the Eugene Imamura Scholarship Fund_____ I am interested in sponsoring a named scholarship fund. Please contact me.

Authorization to Charge Credit CardPlease charge to the credit card listed below: ___Visa ___MasterCard

Credit Card Number

Expiration Date ____________________________________ CID Number*

Name (as it appears on the credit card)

Billing Statement Address

City, State, Zip

Authorized Signature Date*3 digit number on the back of credit card

Please send your form and conribution to:

WOF/PO Box 16486 / Seattle, WA 98116-0486Phone 206-937-5358 /Fax 206-933-6529

Washington D. O. Summer 2015 Page 13

The 2015 Legislative Sessionadjourned on July 10, 1015, after 176days, the longest legislative sessionin Washington State history.

The legislature passed a $38.2billion two-year operating budgetthat includes large increases infunding for transportation projectsand education. There were alsonotable increases in health care andmental health funding. Some of thebudget items that WOMA advocatedfor include funding for additional in-state residencies, funding for theLoan Repayment Program, andincreased funding for mental healthservices. WOMA also was successfulin defeating a proposal to increaseB&O taxes on physician practices.

Operating BudgetBudget increases of interest to

WOMA include:•Lawmakers invested $24.4

million in the Family MedicineResidency Network, the group of 24primary care graduate medicaleducation programs in the WWAMIregion. HB 1485 provided that theDean of PNWU and a representativeof WOMA will be permanentmembers of the Residency oversightcommittee will be permanentmembers, and the Dean and his orher designee will be the permanentCo-Chair of the committee.

•A further $8 million was investedin the UW Psychiatric ResidencyProgram.

•Full funding ($9.6 million) wasrestored to the Health ProfessionalStudent Loan Repayment Programfor primary care health professionals.

Another area of emphasis in thebudget includes mental health care,with an additional $98 million formental/behavioral health services toend the psychiatric boarding ofmental health patients in hospitalsas well as other mental health careneeds; $11.5 million in start-upcapital for the newly establishedmedical school at Washington StateUniversity; $110 million for thestate’s health benefit exchange ($40million less than requested by

exchange officials); continuation ofthe Hospital Safety Net Assessment;and extension of the Children’s HealthInsurance Program.

Policy LegislationSB 5175 – Provides

reimbursement for services providedto patients using telemedicinetechnology.

SB 5084 – An All Payer ClaimsDatabase will be established tocollect claims data from all healthcarriers operating in WashingtonState to improve health caretransparency.

HB 1485 - Creates the FamilyPractice Oversight Committee anddesignates the Dean of PNWU and aWOMA member as permanentmembers of the Committee. TheDean of PNWU will Co-Chair theCommittee with the Dean of the UWMedical School.

Bills that were defeated duringthe 2015 legislative session include:

SB 5815 – Which would haveallowed Naturopaths to prescribeSchedule II-V drugs;

SB 5040 –Mandating a lay letterbe sent to patients related to breastdensity; and

SB 5815 – Expanding the scope ofpractice for dentists.

Looking Forward to the 2016Legislative Session

The 2016 legislative sessionbegins on January 11, 2016, just169 days away!

Legislators are already makingplans for bills they plan to introducein 2016. Likewise, interest groupsand stakeholders that were notsuccessful during the 2015 Sessionwill be working to get their legislativeproposals passed during the 60 daylegislative session in 2016. A billthat “died” during the 2015 Sessionis still “alive” through the end of the2016 Session, and can be enacted bythe Legislature unless it “dies” againin 2016. Needless to say, bills thatdied this Session will be monitoredto ensure they do not come back tolife.

Legislative Updateby David Knutson, Lobbyist

How doesOsteopac Help

OsteopathicPhysicians?

Keeping informed about theosteopathic profession helps toprepare physicians when an issuearises that needs action. As aprofession, we must ensure thatthose elected have the best interestsof patients, physicians and thehealthcare of Washingtonians inmind. Osteopac works to elect andre-elect pro-physician, pro-patientlegislators by contributing to thecampaigns of those with a historyand/or platform showing support ofthe profession.

How can you get involved?Donate - Consistent physician

support is the only way WOMA canadvocate for the profession. Withoutthe voluntary support of theosteopathic physicians ofWashington, representation of theprofession would not be possible.

Stay Informed - Read WOMAlegislative updates sent via emailand in the Washington DOnewsletter.

Respond - VoterVoice Alerts willbe sent when we need physicians tomobilize and contact their legislators.Your voice makes a difference!

Participate - This is the singlemost effective way to ensure thevoice of the profession is heard. Takeone day per year to visit the StateCapitol and advocate for yourprofession through the DO Day inOlympia Program.

Share Information - Don’t letyour colleagues be apathetic!Continuously stress the importanceof advocacy and their obligation totheir patients and profession. Letthem know about all the thingsWOMA and Osteopac do for them!

Recognition - The OsteopacCapitol Club recognizes memberswho generously and consistentlycontribute to Osteopac. Capitol Clubmembers receive annual recognitionin the Washington DO newsletter(see page 16), recognition on theWOMA website, and a special namebadge ribbon at the WOMA AnnualConvention.

Page 14 Summer 2015 Washington D.O.

OSTEOPACWashington Osteopathic Physicians and Surgeons Political Action Committee

PO Box 16486 / Seattle / WA / 98116-0486 / (206) 937-5358 / Fax (206) 933-6529

August 7 , 2015

To All Washington Osteopathic Physicians,

We can all agree that health care delivery continues to undergo massive changes that threaten theeconomic future of most of us to one degree or another. The extent and manner of change as it affects usindividually and as a professional family is most directly controlled by public policy conceived in theLegislative process and in regulatory agencies of the federal and state governments. The changes made canprove adverse or beneficial to the osteopathic profession’s interests. Which label applies depends entirely onthe level of our interest and participation as a concerted group and as individual advocates of a profession-wide position on each issue.

To participate in the process, the osteopathic profession formed the Washington Osteopathic Physiciansand Surgeons Political Action Committee (OSTEOPAC). Though your membership is strictly voluntary, it is, noless, essential to your own self-interest. Through your support, OSTEOPAC funds three tools to use in theprocess. Each tool requires financial support and your time to the extent you are able to invest.

DO Day in Olympia is scheduled for Tuesday, February 23, 2016. This activity provides you an opportunityto meet with your own legislators to discuss issues of concern. We make your appointments and provide youwith talking points. A registration form is enclosed in this newsletter.

VoterVoice is a grassroots public affairs software program that allows us to provide you with timely pre-written email messages to which you can add your personal comments to send to your legislators about aspecific issue and/or impending vote on a bill. All you need to know is the address at which you are registeredto vote – usually your residential address. The program finds your district, senator and representatives andsends your message directly to them. Please make sure we have your correct address.

Like it or not, a major part of our participation must be financial support of those legislators who havedemonstrated friendliness to the special needs and interests of osteopathic medicine. If they are not in office,they can’t help us.

We will need about $25,000 to fund these projects. Thanks to our convention kickoff we one-fifth of theway to our goal. We hope we can count on you to help us raise the remaining $20,000. Please use theOsteopac Registration Form included in this newsletter.

Sincerely,Lindy Griffin, DO, President

Washington D. O. Summer 2015 Page 15

Join your osteopathic colleagues in Olympia as we discuss healthcare issues that will impact your practice. Thisis your opportunity to voice your concerns as the Washington State Legislature enacts healthcare reform and otherpolicies that will affect you and your patients.

The day will start at 9:00 a.m. with everyone assembling for instructions on the issues to discuss in your meetingswith the legislators and updates on current legislation. Appointments with legislators will start at 9:30 a.m.Participants will meet with legislators and provide OMM demonstrations and free blood pressure checks to thepublic and legislators. All legislators will be invited to a lunch with our participants hosted by WOMA. Meetingswill continue after lunch until 3:00 p.m. Please complete this registration form and fax or mail it to WOMA byMonday, January 4th to allow time to schedule appointments. This is a joint project with PNWU and those comingfrom the Yakima area are invited to ride the bus from PNWU to Olympia and back. Please indicate below if youwant to ride the bus from Yakima.

Name

If you are a registered voter in Washington State please provide your Registered Voter Address so we mayidentify your legislators:

Address

City Zip

Cell Phone Email

Please send registration to: WOMAPO Box 16486Seattle, WA 98116-0486

Or fax to: 206-933-6529If you are coming from the Yakima area, indicate below if you wish to ride the bus from PNWU.

_____ Yes, I would like to ride the bus to Olympia from Yakima on February 23rd

Return by January 4, 2016

D.O. Day in OlympiaTuesday, February 23, 2016

9:00 a.m. to 3:00 p.m.Columbia Room

Legislative Building

More information will be provided as we get closer to the opening of the Legislative Sessin in January.

Page 16 Summer 2015 Washington D.O.

2015 O S T E O P A C Capitol Club

The Washington Osteopathic Physicians and Surgeons Political Action Committee (Osteopac) was establishedin 1985 to support advocacy efforts on behalf of the osteopathic profession in Washington State. The “Capitol Club”recognizes those who generously and consistently contribute to Osteopac. The list below includes contributionsreceived through August 7, 2015. Thank you to all of our current Capitol Club members!

Platinum Club (at least $5,000 since 2006)H Ken & Sharon Cathcart, DO

Loren H Rex, DO

Gold Club (from $2500 to $4999 since 2006)Dan Dugaw, DO

Lindy Griffin, DOMonica Haines, DOSheila Kennedy, DOSteven Leifheit, DO

Silver Club (from $1,000 to $2499 since 2006)Harold Agner, DO

Timothy Anderson, DOJohn Baumeister, DO

Bill Betz, DOLloyd Butler, DO

Bill Dickinson, DOPaul Emmans, Jr, DOLarry Greenblatt, DODavid Hofheins, DOJohn Hunholz, DOVincent Koike, DORichard Koss, DODavid Lukens, DO

Chris Peterson, DORobyn Phillips-Madson, DO

Kathleen Schuerman, DODan Shelton, DO

Dan Wolf, DO

Bronze Club (from $250 to $999 since 2006)Juan Acosta

Dennis AndersonRuth Bishop, DODan Brzusek, DO

Robert Coleman, DORose-Marie Colombini, DO

Marc Cote, DONick Curalli, DO

Thomas Dawson, DODieter Eppel, DOScott Fannin, DODavid Farrell, DOJanis Fegley, DO

Amber Figueroa, DOJohn Finch, DO

Stan Flemming, DOJohn Fuchs, DO

Glenn Gasstineau, DOLarry Hoover, DO*Lon Hoover, DO*

Gordon Hsieh, DOMark Hunt, DO

James Keene, DOKarl Kranz, DO

Huong Lakin, DOPhilip Matthews, DO

Allen Quinn, DOMarck Raney, DO

Lyndsey Rasmussen, DORichard Richards, DO

David Ryan, DOKen Scherbarth, DO

Charles Schuetz, DO*Paul Shelton, DOTom Shelton, DO

Donald Sinden, DOGerald Stanley, DO

Joe Thomas, DOChristen Vu DO

Lynda Williamson, DODon Woods, DO*

Suzanne Yeary, DOAlan Zend, DO

*Deceased

It’s not too late to join the 2015 Capitol Club. Membership requires a minimum donation of $250 since 2006. Just completethe Osteopac registration form on page 17 and submit with your check made payable to Osteopac. If you have madecontributions during this time and would like to know your accumulative amount, please email Kathie Itter atkitter@woma.org or call her at 206-937-5358.

Washington D. O. Summer 2015 Page 17

OSTEOPACWashington Osteopathic Physicians and Surgeons

Political Action CommitteePO Box 16486 / Seattle / WA / 98116-0486 / (206) 937-5358 / Fax (206) 933-6529

2015 Membership Registration(*Information required by State campaign finance laws and must be provided with contribution)

Date ____________________

*Name ______________________________________________________________________

*Address _____________________________________________________________________

*City ___________________________________ *State _______*Zip_________________________

_____ Retired _____ Self Employed

*Employer (if other than self) ___________________________________________________

*Employer Address ____________________________________________________________

*City__________________________________*State_____________*Zip________________

-_____$ 25.00 ------- _____ $ 100.00 ____$ 365.00

_____$ 50.00 _____$ 200.00 ____ Other $ _________

Make Your Personal Check Payable to: OSTEOPAC

Please complete this form and send with your personal check (no business checks) made out to OSTEOPAC toP.O. Box 16486, Seattle, WA 98116-0486

* Information required by Public Disclosure Commission

Page 18 Summer 2015 Washington D.O.

Why WOMA?This Washington Osteopathic Medical Association has been the voice of osteopathic physicians in

Washington since 1901. We’re most often associated with advocacy for the osteopathic profession at thelocal, state and federal level.

From our office in Seattle and with our lobbyist in Olympia, our staff assists and advocates for the doctorsof osteopathic medicine and their patients in the Evergreen State.

Thanks to WOMA’s dedication to - and advocacy for - the osteopathic profession, D.O.s around the stateof Washington enjoy the same practice rights as our medical doctor (M.D.) colleagues. Today, WOMA hasa seat at the table when issues important to physicians and healthcare arise!

Membership is important for WOMA to be able to continue its advocacy. If WOMA is not there to representyou, who will be? If you are not a member, please consider joining now. It is time to step up and stopdepending on others to maintain your profession’s advocacy efforts.

Instead of asking "Why" ask yourself "Why not WOMA?" Dues vary according to how long you havepracticed in Washington. Regardless of the amount, it is cheaper than not having a voice. If you have anyquestions or concerns, you are welcome to call or email Executive Director Kathie Itter at 206-937-5358 orkitter@woma.org. A membership application is on the last page of this newsletter.

Events Schedule

August 14, 2015 12:00 p.m. PNWU Community Fair Yakima

August 19, 2015 7:00 p.m. Executive and Public Affairs Committee WOMA Office

September 25, 2015 7:00 p.m. CME Committee Oxford SuitesYakima

September 26, 2015 8:00 a.m. WOMA Fall Seminar PNWU6:30 p.m. WOF Board Oxford Suites7:00 p.m. WOMA Board Dinner Yakima

October 14, 2015 7:00 p.m. Executive and Public Affairs Committee WOMA Office

November 18, 2015 7:00 p.m. Executive and Public Affairs Committee WOMA Office

December 4, 2015 7:00 p.m. CME Committee WOMA Office

December 5, 2015 8:00 a.m. WOMA Winter Seminar Doubletree5:30 p.m. WOF Board SeaTac6:00 p.m. WOMA Board Dinner

December 18, 2015 1:00 p.m. ATSU Student Presentation Renton

Washington D. O. Summer 2015 Page 19

WELLNESS PROGRAMS FALL 2015

MINDFULNESS FOR HEALTHCARE PROFESSIONALS

Five-week course on Thursday evenings from 6pm to 8:30pm and one Saturday 9am to 4pm

Dates: 9/10/15, 9/17/15, 9/24/15, 10/3/15 (Saturday), 10/8/15

720 Olive Way, Seattle WAMindfulness is designed to reduce stress and improve general mental health. Mindfulness does noteliminate life’s pressures, but it can help health professionals respond to pressures in a calmer mannerthat benefits heart, head and body.Course cost: $175

To register, please visit: http://mindfulnessforhealthcareprofessionals.eventbrite.com

COMPASSION CULTIVATION TRAINING (CCT)Eight-week course on Monday evenings from 6pm to 8pm

Dates: 10/5/15, 10/12/15, 10/19/15, 10/26/15, 11/2/15, 11/9/15, 11/16/15, 11/23/15

720 Olive Way, Seattle WACCT combines traditional contemplative practices with contemporary psychology and scientific research.Through instruction, exercises, daily meditation, mindfulness, and in-class interaction, participants strengthenqualities of compassion, empathy, and kindness. Learn how to train your mind to intentionally choosecompassionate thoughts and actions and develop skills that help you relate to others—and yourself.

Course cost: $175

To register, please visit: http://compassioncultivationtraining.eventbrite.com

ONE-DAY MINDFULNESS RETREAT

Saturday from 9am to 4pm

Date: 10/24/15

UW South Lake Union, 815 Mercer Street, Seattle WA

Workshop for those who have taken a mindfulness course and are looking to re-engage and refresh theirpractice, or for those new to mindfulness and meditation.

Workshop cost: $85

To register, please visit: http://mindfulnessretreat.eventbrite.com

WPHP Wellness Programs are open to any physician, dentist, veterinarian, physician assistant, orpodiatrist. No past or current involvement with WPHP is necessary. Spouses and partners are alsoencouraged to attend. For more information, please email wellness@wphp.org.

720 Olive Way, Suite 1010, Seattle, Washington 98101 • T (206) 583-0127 (800) 552-7236 F (206) 583-0418

Page 20 Summer 2015 Washington D.O.

WOMA ACTIVE MEMBERSHIP APPLICATIONDate

Unless otherwise requested, the primary form of communication whenever possible will be email.Pleae print or type legibly or application will be returned.Attach current CV with all training, certification and past practice information.

Name Email

Physical Address of Current Practice Phone ( )

City, State , Zip County

Residential Address Phone ( )

City, State, Zip County

Mailing Address ( )Office ( )Residence ( )Other

City, State, Zip

Gender __M __F AOA# Birthdate Spouse’s Name

PRACTICE INFORMATION

WA State License Number Date Issued

Other Current/Past State Licenses

Present Practice Focus

Hospital Staff (Present)

Hospital Staff (Past)

Other State Divisional Society Memberships (Past and Present)

Have you ever had a license limited, suspended or revoked? No_______ Yes_______ If yes, please attach explanation.

Have your prescribing privileges ever been limited or suspended? No_______ Yes_______ If yes, please attach explanation.

___I am wiilling to have premed students shadow me ___I am willing to precept 3rd and 4th year osteopathic medical students

“By my signature, I hereby authorize release of the information contained in this application and WOMAmembership file to those organizations or hospitals to whom I may subsequently apply for membership; and releaseto WOMA, by organizations, agencies and hospitals of information relative to my membership in thoseorganizations and my professional practice. I understand that withholding or falsification of information will resultin denial of membership.”Please list a WOMA member who can recommend you for WOMA membership:If you do not know any WOMA members, please check here: ___

Signature of Applicant Date

___ Enclosed is my application fee of $35.First year -$160; Second year -$320; Third or moreyear of pactice in WA- $640Dues may be pro-rated quarterly

Return to W.O.M.A.P.O. Box 16486 / Seattle, WA 98116-0486

(206) 937-5358FAX (206) 933-6529

____Charge my application fee and Dues of $

___Visa ___MasterCard

Card Number

3-digit security code Expiration Date

Name on Card

Signature